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NPI 1174588206 · Summerville, SC · Ambulatory Surgical Clinic/Center
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Charleston Surgery Center Limited Partnership is a ambulatory surgical clinic/center provider located in Summerville, South Carolina. This profile covers 41 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Charleston Surgery Center Limited Partnership |
| Address | 130 Edge St |
| City | Summerville |
| State | SC |
| ZIP | 29486 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.6M |
| Medicaid | $2M |
Payer mix and scale: CHARLESTON SURGERY CENTER has material revenue from both programs, reporting Total Medicare revenue of $2.6M and Total Medicaid revenue of $2M. Medicare is the larger payer by reported dollars, but Medicaid represents a substantial second pillar of volume rather than the provider being effectively single‑payer.
Medicare revenue concentration: the provider's top three Medicare codes (63685, 63655, 27447) account for 56.9% of its Medicare revenue, with 63685 at 29.9%, 63655 at 14.1%, and 27447 at 12.8%. This level of concentration indicates that a small set of high‑value surgical codes drives the majority of Medicare dollars.
Service-line implications from Medicare mix: the leading Medicare codes are dominated by spine/neurostimulation procedures (63685, 63655) and major knee arthroplasty (27447), suggesting the ambulatory clinic performs significant spinal neuromodulation and orthopedic joint procedures in addition to routine endoscopy and injection services. The presence of both high‑value implant procedures and numerous lower‑paid injection and endoscopy codes (e.g., 64483, 64493, 45385, 45380) points to a mixed specialty ambulatory surgical operation combining pain management, spine, orthopedics, and GI services.
Medicare competitive standing: activity in the highest‑revenue Medicare codes shows a mixed market position — 63685 ranks #100 of 1281 providers nationally (92th percentile; typical, unremarkable volume for this code) and 63655 ranks #33 of 245 providers nationally (84th percentile; typical, unremarkable volume), while 27447 ranks #3619 of 12089 providers nationally (69th percentile; typical, unremarkable volume). In plain terms, the center posts notable activity in specialized spine codes relative to peers but is not a dominant national leader across its orthopedic volume.
Statistical outliers and above‑typical volumes: several Medicare codes are flagged as above‑typical or outliers in the supplied labels — 64721 is listed as an "extreme outlier, far above typical national volume" (132 claims, $80.4K revenue, 3.2% of Medicare revenue), while 64483 and 64493 are described as "notably above typical national volume" (64483: 330 claims; 64493: 279 claims). These labels indicate unusually high procedural volumes in specific nerve, pain, and hand surgery procedures relative to national peers and may reflect focused clinical capacity in those areas.
Medicaid revenue concentration and service mix: the provider's Medicaid billing is heavily dental‑weighted — D2930 alone generates $1.3M (63.1% of Medicaid revenue) and, together with D7140 ($540K, 26.4%), the top three Medicaid codes account for 92.0% of total Medicaid revenue. This signals that the provider's Medicaid business is overwhelmingly driven by dental services and tooth extractions rather than the surgical suite procedures that dominate its Medicare billing.
Medicaid competitive standing in‑state: for its largest Medicaid codes the provider reports solid but not dominant in‑state ranks — D2930 is #31 of 134 providers in‑state (77th percentile; typical, unremarkable volume) and D7140 is #52 of 291 providers in‑state (82th percentile; typical, unremarkable volume). Those positions indicate a meaningful state‑level presence in Medicaid dental services while still being one of many active dental billers statewide.
Tenure and operational implication: the NPI was enumerated on 2006-04-20 (~20 years ago), indicating long tenure in the market. Combined with the bifurcated payer profile (Medicare surgical specialties vs. Medicaid dental dominance) this tenure suggests an established operation that has developed distinct revenue streams across different patient populations and service lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
41 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 40 | $18,130 | $743.5K |
| 63655 | In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall… | 30 | $13,500 | $350.9K |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 50 | $6,770 | $318.1K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 20 | $7,150 | $135.8K |
| 22551 | A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae. | 20 | $6,870 | $130.5K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 330 | $290 | $94K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 200 | $440 | $87.1K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 130 | $610 | $80.4K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 220 | $340 | $76.4K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 280 | $270 | $73.9K |
Showing 1–10 of 41
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
41 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 241 | 270 | 210 | $170 | $141.3K |
| 63685 | 4 | 40 | 20 | $5,770 | $138.5K |
| 27447 | 106 | 220 | 40 | $1,090 | $61.9K |
| 63655 | 3 | 20 | 10 | $2,800 | $50.3K |
| 27130 | 115 | 150 | 40 | $1,060 | $44.7K |
| 45385 | 51 | 270 | 90 | $270 | $36.9K |
| 64483 | 16 | 130 | 90 | $190 | $33K |
| 62323 | 86 | 130 | 80 | $160 | $28.8K |
| 64493 | 13 | 130 | 70 | $170 | $22.7K |
| 64635 | 77 | 110 | 40 | $350 | $22.4K |
Showing 1–10 of 41
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D2930 | N/A | 3,460 | $370 | $1.3M |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 2,020 | $270 | $540K |
| D3220 | N/A | 250 | $200 | $49.9K |
| D2391 | Resin‑based composite – one surface, posterior | 230 | $200 | $46.1K |
| D2934 | N/A | 60 | $430 | $25.9K |
| D1351 | Sealant - per tooth | 110 | $230 | $25.5K |
| D2330 | Resin-based composite - one surface, anterior | 130 | $190 | $23.9K |
| D2392 | Post 2 surface resin‑based composite | 70 | $210 | $15.1K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 70 | $130 | $9.1K |
| D2390 | N/A | 40 | $200 | $8.5K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D2930 | N/A | 31 | 130 | 1,060 | $150 | $371.1K |
| D2392 | Post 2 surface resin‑based composite | 276 | 350 | 520 | $100 | $175.3K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 52 | 290 | 380 | $90 | $125K |
| D2391 | Resin‑based composite – one surface, posterior | 157 | 300 | 270 | $80 | $110.5K |
| D1351 | Sealant - per tooth | 163 | 200 | 840 | $30 | $108.9K |
| D3220 | N/A | 47 | 90 | 290 | $100 | $91.6K |
| D2390 | N/A | 3 | 10 | 60 | $300 | $74.8K |
| D2934 | N/A | 17 | 20 | 170 | $140 | $66.1K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 71 | 110 | 180 | $60 | $33.8K |
| D2330 | Resin-based composite - one surface, anterior | 31 | 70 | 100 | $100 | $27.6K |
Showing 1–10 of 13
Other providers in the same ZIP code as Charleston Surgery Center Limited Partnership, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Roper St Francis Hospital-berkeley Inc. | SC | General Acute Care Hospital | $0 | $7.3M |
| Broad River Physicians Group, LLC | SC | Emergency Medicine Physician | $0 | $3M |
| Sfd Kids LLC | SC | Dentist | $0 | $2.4M |
| Durga Adhikari | SC | Rheumatology Physician | $2.4M | $0 |
| Colin Edgerton | SC | Rheumatology Physician | $1.9M | $0 |
| Jennifer Murphy | SC | Rheumatology Physician | $1.4M | $0 |
| Gregory Niemer | SC | Rheumatology Physician | $1.4M | $0 |
| Low Country Endoscopy Center, LLC | SC | Ambulatory Surgical Clinic/Center | $524.9K | $93.6K |
| Michael Marte | SC | Hematology & Oncology Physician | $607.8K | $0 |
| Nicholas Holdgate | SC | Rheumatology Physician | $557.8K | $0 |
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